Inspection on 10/03/06 for Woodland House

This inspection was carried out on 10th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodland House 16/12/09

Woodland House 04/09/07

Woodland House 15/08/06

Woodland House 11/10/05

Woodland House 01/03/05

Woodland House 02/12/04

Woodland House 19/03/04

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Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Woodland House 22 Woodland Road Northfield Birmingham West Midlands B31 2HS Lead Inspector Brian Reamsbottom Unannounced Inspection 10th March 2006 08:05 Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodland House Address 22 Woodland Road Northfield Birmingham West Midlands B31 2HS 0121 243 9349 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Brendan Freeman Mr Brendan Freeman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 11th October 2005 Brief Description of the Service: Woodland House is a three-storey semi detached property situated within a quiet street in Northfield, Birmingham. The home is close to transport links to the city centre, shops, pubs, cafes and places of worship. The home provides care for six younger adults of both sexes who have learning disabilities. All service users living at the home have independent living skills and this is encouraged by staff and is reflected in the flexible way the home is run. The communal areas of the home are spacious and include a large garden, which is well used for such activities as football and barbeques. The service users bedroom are located on all floors of the property, two bedrooms have en suite facilities. A large games room is situated on the second floor. The home does not provide a vehicle for service users, senior staff use their own vehicles; taxis and public transport are also utilised. There is no off road parking available. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report must be read in conjunction with the inspection report of 11 October 2005. The home was inspected unannounced from 08.05 to 09.50. The documentation inspected included the following: Care plans, risk assessments, fire records, medication records, and health and safety records. Five service users and two members of staff were spoken with. The inspector thanks service users and staff for their co-operation, welcome and hospitality during this visit. What the service does well: What has improved since the last inspection? What they could do better: Service users care plans must be reviewed at least twice a year or as the needs of service users dictate. New members of staff must be registered to do the Learning Disability Award Framework (LDAF) training. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 The home has information available to enable prospective service users make an informed decision about living in the home. EVIDENCE: Standards 1 and 2 were met at the inspection of 11 October 2005 and were not inspected at this visit. Service users have a contract with the home; the service user signed the contract seen. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Care planning and risk assessment practices meet the needs of the service users living in the home. However, care plans must be reviewed at least twice a year. EVIDENCE: Standards 6, 7, and 9 were met at the inspection of 11 October 2005. Standards 7 and 9 were not inspected at this visit. The service user file that was inspected had a care plan dated 1.04.04 and signed by the service user. The inspector asked the deputy manager about the current care plan. He was told that it was being reviewed. The inspector informed that care plans must be reviewed at least twice a year or as the needs of service users dictates. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12 Service users have access to a range of opportunities to afford them a meaningful lifestyle. EVIDENCE: Service users attend day centres. A service user showed the inspector his ‘activity catalogue’ that he had reviewed, and was taking it to the centre, on the day of the inspection. He has a ‘lifestyle programme’, ‘fun and numbers’, ‘gardening’ and ‘swimming’. The service users had a breakfast of their choosing and were waiting for transport to take them to day services. They were very vocal and talked about the activities that they were going to be doing during the day. All were excited and talked about their planned summer holiday to Dawlish in Devon. Service users continue to attend a social club were they meet their friends. Relatives and friends are encouraged to visit at all reasonable times. This was confirmed on speaking with service users. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Systems are in place to ensure that service users receive the care they need. The medication management is good ensuring service users receive medication as prescribed. EVIDENCE: Standards 18, 19 and 20 were met at the inspection of 11 October 2005. Standards 19 and 20 were not inspected at this visit. Service users and staff enjoy a good rapport. Support is given in a warm and friendly manner, and staff were seen to be polite, considerate, patient and respectful, as appropriate. From inspecting service users’ records and from observations made it is evident that staff provide sensitive and flexible personal support to service users. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: Standards 22 and 23 were met at the inspection of 11 October 2005 and were not inspected at this visit. The deputy manager told the inspector that there have been no complaints or concerns since the last inspection. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): X The home was clean, warm and fit for its purpose and generally provides service users with a safe, homely and comfortable environment. EVIDENCE: Standards 24 and 30 were met at the inspection of 11 October 2005 and were not inspected at this visit. The service users spoken with appeared happy and relaxed and said, “ That they liked living at the home.” Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The homes recruitment procedure is robust and ensures service users are protected from harm. Staff have received training to enable them meet service users needs. EVIDENCE: Standards 32 and 34 were met at the inspection of October 2005 and were not inspected at this visit. The deputy manager told the inspector that they are experiencing difficulty in finding colleges providing Learning Disability Award Framework (LDAF). The response from one college was that they are not providing the training, as there is no demand. However, a social worker is visiting to discuss the training. All the current members of staff have completed NVQ level 2 training. This is to be commended. The deputy manager told the inspector that she is now in the process of completing NVQ level 4 in management and care. On completion of the training it is intended that she applies to become the registered manager. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The home is well managed to promote the health and safety of service users. EVIDENCE: Standard 42 was met at the inspection of 11 October 2005 and was not inspected at this visit. The manager has several years experience in owning and managing a home for people with a learning disability. He has decided that when his partner completes the NVQ level 4 in management and care, he will relinquish the post of manager. Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X X X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X X X X X X Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15(2)(b) Requirement The registered manager develops and agrees with each service user an individual Plan which may include treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. The plans must be reviewed at least twice a year or as the needs of service users dictates. New members of staff must be registered to undertake Learning Disability Award Framework (LDAF). Timescale for action 31/03/06 2. YA35 18(1)(a) 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodland House DS0000017003.V285160.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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